Application

To apply, complete our online form.

Typing your name on our online applications will be your signed consent that information is truthful and accurate and provides your approval to conduct background screenings.

Employment Application

Step 1 of 7

Name*
First Name Last Name
Phone*
Email*
Address*
Street Address City State ZIP Code
Position
What community are you applying for?*
Position Desired*
How did you learn about the position?*
Please specify:*
Seeking (check all that apply):*
- Full-Time
- Part-Time
- Temporary
- Volunteer
Availability (check all that apply):*
- Days
- Evenings
- Nights
- Weekends
Do you know anyone that is employed at the Residences at Coffee Creek or Residences at Deer Creek?
Please provide the person’s name and your relationship to this person:*
Salary Desired
Date Available
MM slash DD slash YYYY
Upload Cover Letter & Resume (Optional)
Attach your cover letter:
Accepted file types: doc, docx, pdf, jpeg, Max. file size: 100 MB.
Attach your resume:
Accepted file types: doc, docx, pdf, jpeg, Max. file size: 100 MB.

Authorization To Make Contact*
I have read and understand the statements made herein.
I, the undersigned applicant, hereby authorize Residences at Deer Creek and Residences at Coffee Creek to contact all former and/or present employers, references, and any other agency, business, and/or individual that Residences at Deer Creek and Residences at Coffee Creek deems necessary to contact during its investigation of my background. I also agree to indemnify and hold harmless Residences at Deer Creek and Residences at Coffee Creek for any and all disclosures made to or by it in good faith relating to my employment.
Certification*
I have read and understand the statements made herein.
I hereby affirm, under penalties of perjury, that all statements and representations made by me in this application are true to the best of my knowledge and belief. I hereby authorize Residences at Deer Creek and Residences at Coffee Creek to investigate any and all statements contained in this application and specifically direct and authorize all previous employers to release relevant information about me to Residences at Deer Creek and Residences at Coffee Creek, and further, I agree to indemnify and hold Residences at Deer Creek and Residences at Coffee Creek harmless as to any and all disclosure made to it or by it in good faith relating to my employment. I understand that as part of its investigation into my background, Residences at Deer Creek and Residences at Coffee Creek may conduct a criminal history check and that any offer of employment may be dependent upon satisfactory completion of a drug screen, physical exam, TB test, and satisfactory references. I further understand and agree that the position I am applying for is for no definite duration and may be terminated by me or by Residences at Deer Creek and Residences at Coffee Creek at any time without cause. Any and all answers are subject to verification by Residences at Deer Creek and Residences at Coffee Creek at any time before or after employment. Any false, misleading, or incomplete answer will be cause for immediate disqualification or for immediate termination in the event of employment.

Residences at Deer Creek and Residences at Coffee Creek is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, age, national origin, disability, participation in military service, or any other protected status.
Name*
First Last
Date*
MM slash DD slash YYYY

Indiana State Police Criminal History Information Limited Criminal History & Fee Exemption
For more info call 317-233-5424 or go online www.IN.gov/ISP
Name
First Middle Last
Social Security Number

**This agency is requesting disclosure of your Social Security Number in accordance with IC 4-1-8-1; disclosure is VOLUNTARY and you will NOT be penalized for refusal.
Date of birth:
MM slash DD slash YYYY
Select your sex:
- Male
- Female
Place of Birth
Select your race:
- White
- Black
- Unknown
- Multi Racial
- American Indian Alaskan
- Asian / Pacific Islander
Reason for search

Private Adoption, Employment, Licensing (type), etc.
Phone
Warning Penalty for misuse*
I affirm, under penalty of perjury, that the Limited Criminal History Information requested will be used as specified.
A non-criminal justice organization or individual receiving a limited criminal history may not utilize it for purposes other than those stated in the request or which deny the subject any civil right to which the subject is entitled. IC 10-13-3-27: Any person who uses limited criminal history for any purpose not specified in the request commits a Class A misdemeanor offense.
Name
First Last
Date
MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.